THOMAS J MANGO MD PC NPI 1609838259

NPI Information

  • NPI: 1609838259
  • Provider Name: THOMAS J MANGO MD PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 31 OAK ST
    SUITE 3
    PATCHOGUE, NY
    ZIP 11772
  • Phone: (631) 758-3911

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NPI Details

THOMAS J MANGO MD PC is a specialist in Patchogue, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. THOMAS J MANGO MD PC NPI is 1609838259. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31 OAK ST
SUITE 3
PATCHOGUE, NY
ZIP 11772-887
Phone: (631) 758-3911
Fax: (631) 758-4072

The provider's authorized official is Gina Bancroft .
The authorized official title is Manager and has the following contact phone number (631) 758-3911.

The enumeration date for this NPI number is 4/6/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist210442NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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